I began seing a new pain doc?

and when I was reading the list of rules there were a few medications he wrote down that we were not allowed to take one was suboxone, another started with with an n. can someone tell me why I am not allowed to take at least the suboxine ,when I go to the dr I wi ask to see the paper I singed than I can see the other 2 meds he listed. what will happen if I took for now at least the suboxin along with my opana,and oxy ir?have a pain free day dm

Added 2 Dec 2010:

yes the other one was the second med you mentioned with the N, any how as of now I am on opana, and oxy ir, I am not taking any sort of medication to block the effects themselves. I just don't know what these meds do and why. I here a lot about them on here. thanks for the inputhave a pain free dayDonna

Responses (2)

AN

Anonymous2 Dec 2010

Hey DMlady, If ur pm dr specifically made u sign paper saying Not 2 take subs, nor 2 other meds, and u get drug tested by pm dr, they may stop treating u because u signed a contract, he will have proof u knew Not 2 take. Pm drs will have a panel 4 bupenorphine, and it can test + 4 up to 2 weeks after last dose. Then there is the whole 'subs blocks other opiates,' controversey, most agreeing with it, some saying at high enough doses, subs will b over ridden by opiates. If the N med u saw was naltrexone or naloxone, ur dr adheres 2 the 'subs blocks other opiates' thinking and he most likely b angry with u 4 defying him and may cease treating u. Call their office, ask what meds are forbidden, why they are forbidden, and how u r 2 handle break thru pain. i would hate 2 hear u lost ur new dr for any reason. some pm's have a zero tolerance policy.

Well, all 3, subs, naltrexate, and naloxone all of thed are pretty much used in the treatment of opiate dependence to block opiates or in the case of naloxone only, to keep someone from od'ing. If u r in pain, let the new dr know, don't take suboxone, it could throw u into precipitated withdrawal if u take it and have opiates in ur brain.If u r already on opiates, u risk that plus being kicked from new drs practice.

Hi dm, Patti's right! And it's probably the naloxone you're thinking about. But really, suboxone is only for kicking other opiates and not meant for chronic pain. Unlike methadone which is used for both. I hope you're getting the meds you need and you can finally get some pain relief. It really sucks living like that. Let us know how it works out for you! I hope you get through the holidays with much less pain.

I only asked since I never heard of any of these meds before I came to this group. He has no objection he told me of what we take, all he made us do is put a checkmark next to the statement to let him know we read it. and one said if we take some other pain med that h did nor prescribe, just to let him know when we see him and as to why you took it, like you wound up in the er, Actually He wanted to put me back on oxycontin 100 mgs a day when I saw him last and I said NO I have been on them like 14 years and now that Im off I don't want any part of them anymore. he was a tad surprised.Although he fully never knew to the extent of what was wrong until he read up on it, and when I went to my appointment he saw me come in, and he came out and got me in the back before others, and said he was so sry he did not realize how painful what I have was.He was asked to go to a seminar on it in Dec however his schedule would not let him.thanks all your all great.

I am just happy to be in alot less pain. now if I could get my shrink to give me some xanax I swear Im loosing my cookies with stress, which ruined my convention in early Nov. Oh welltake care alldonna

AN

Anonymous3 Dec 2010

Hey Donna, not knowing what you had heard about subs, I tried to be brief. I am so glad you updated and commented. Suboxone does have a powerful pain killer in it, but by the way it is dissolved under the tongue and mixed with the naloxone that is in it, it does NOT convert into morphine or thebaine and the naloxone blocks other opiate you may take on top of it. If you had taken suboxone while there were still opiates on your receptor sites, it would have thrown you into something called precipitated withdrawal, really really bad withdrawal. The two different medications would fight for receptor site space, canceling each other out and you would then have NO pain meds in your system. Now if someone is on subs, and then takes opiates, the subs will block the opiates, rendering them pretty much useless. I have seen a couple of posts stating a pm dr started prescribing opiates to someone already on subs, for what reason, I have no idea.

But if you are currently taken opiates( and you are) and you didn't let them recede off the receptor sites and go into moderate withdrawal( would take about 24 hours without any opiates taken at all during that 24 hours) that is when the precip can occur. I know it is confusing, but, I am glad you asked first dear.

L Have rsd and was perscibed suboxone for nerve pain, i do know that sub. can be used for certain kinds of pain, if it was being used to come off drugs then you would have to go to the Dr. office to be given sub. they can only write a perscription if you have chronic nerve pain, they also have to do blood tests to make sure the levels in your blood are weere they are suppose to be. i was monitered very closely while on it, they didn't help me a whloe lot so they took me off them.

Hope your pain issue is being managed properly. I honestly can say I have never heard of a doctor prescribing Suboxone for pain management but again what do i know. I have pain issue myself and am prescribed Suboxone for opiate dependency. This doesn't touch my pain at all but I deal with it. Exercise along with counseling and prayer/meditation is what works for me. The exercise especially helps with replacing doper mean in the brain sorry for spelling. Good luck, nothing like being educated about the medication we take. Sometimes doctors rush through session on educating us on our medications.